BILL ANALYSIS Ó SB 542 Page 1 Date of Hearing: July 5, 2011 Counsel: Gabriel Caswell ASSEMBLY COMMITTEE ON PUBLIC SAFETY Tom Ammiano, Chair SB 542 (Price) - As Amended: June 20, 2011 SUMMARY : Creates rules and regulations for the tattooing of inmates in state prison. Specifically, this bill : 1)Requires that inmates only receive, remove, or permit removal of tattoos from themselves or others if it is done in a manner sanctioned by the warden, as specified. a) In a supervised environment that the warden determines does not compromise the safety of the inmate, other inmates, prison personnel, or the public at large. b) If a qualified medical professional is present and provides appropriate supervision. c) In accordance with the required health and safety standards outlined in Health and Safety (HSC) Sections 119308 and 119309. 2)Prohibits inmates from tattooing themselves or permitting themselves or others to be tattooed with gang-affiliated, racist, anti-Semitic, or similarly intolerant tattoos. 3)Makes related findings and declarations: a) Prisoner-initiated tattoos are widespread in the California correctional system; b) According to the Centers for Disease Control (CDC), there is an average of 1,240 inmates infected with HIV/AIDS in California's prisons. The CDC estimates the cost to care for these inmates at over $18 million; c) It is estimated that nearly 40% of the state's prison population is infected with Hepatitis C, according to a lawsuit filed in 2008; SB 542 Page 2 d) 90% of all prisoners are ultimately released from state prison; e) The majority of inmates have sex within the first 24 hours of their release from state prison; f) The average duration of incarceration in California prison is just over two years; g) Transmission of HIV and Hepatitis C in prison quickly affects the general population; h) It is in the interests of protecting the public health to acknowledge that tattooing occurs in prison and to take steps to make prison tattoos safer and less prone to transmission of blood-borne pathogens; and, i) Acknowledging the behavior that tattooing occurs in prison, combined with appropriate supervision, will ultimately help to mitigate dangerous conditions for correctional officers and public health crises for the communities into which inmates are released. EXISTING LAW : 1)Provides that the president of the California Conference of Local Health Officers shall act as the chairperson of a task force to be formed for the purpose of recommending legislation to the Legislature concerning licensing, training, sanitation, and other subjects deemed necessary to protect the health and welfare of persons seeking the services of practitioners of tattooing, body piercing, and permanent cosmetics. The task force shall be composed of 10 persons to be appointed by the President of the California Conference of Local Health Officers, and shall include a representative from the State Board of Barbering and Cosmetology, a physician and surgeon licensed in California, a representative from a nonprofit professional body piercers' association, a representative from a nonprofit professional tattooists' association, a representative from a nonprofit professional permanent cosmetic association, a representative from a nonprofit professional cosmetology association, and a representative from an organization representing the interests of local health departments. The president of the California SB 542 Page 3 Conference of Local Health Officers may appoint the remaining three members from any other groups that may, in the judgment of the president, be of assistance. (HSC Section 119308.) 2)States that inmates shall not tattoo themselves or others, and shall not permit tattoos to be placed on themselves. Inmates shall not remove or permit removal of tattoos from themselves or others. (California Code of Regulations Title 15 Section 3063.) FISCAL EFFECT : Unknown COMMENTS : 1)Author's Statement : According to the author, "In the interest of protecting public health, SB 542 recognizes that prisoner-initiated tattoos are widespread in California State Prisons. This measure takes steps to reduce the alarming rate of infectious diseases not only among inmates but correctional officers, and the communities in which released inmates will return. "Current regulations to prohibit tattooing in California prisons has not been effective policy; results in tattooing practices done secretly in unhygienic environments with makeshift equipment. These underground practices continue to contribute to the spread of infectious diseases in our prisons and our communities. "SB 542 aims to save lives and reduce health care costs to the state by ensuring that such practices are done so in a safe manner and under supervision." 2)Current CDCR Practices Ban Tattoos Outright : This bill provides guidelines for tattooing of inmates under the following conditions: (a) the tattooing is conducted in a supervised environment that the warden determines does not compromise the safety of the inmate, other inmates, prison personnel, or the public at large; (b) with a qualified medical professional present who provides appropriate supervision; and, (c) in accordance with specified health and safety requirements. However, currently CDCR has a policy which does not allow for the tattooing of inmates under any circumstances: "inmates SB 542 Page 4 shall not tattoo themselves or others, and shall not permit tattoos to be placed on themselves. Inmates shall not remove or permit removal of tattoos from themselves or others." (California Code of Regulations Title 15 Section 3063.) This bill effectively permits the tattooing of CDCR inmates where current law does not. 3)Reasons for this Bill : The author's office believes that this bill is necessary due to the rampant transmittal of blood-borne diseases in CDCR facilities due to unsanitary tattooing practices. The author's office presents the following as factual determinations in this bill: a) Prisoner-initiated tattoos are widespread in the California correctional system. b) According to CDC, there is an average of 1,240 inmates infected with HIV/AIDS in California's prisons. The CDC estimates the cost to care for these inmates at over $18 million. c) It is estimated that nearly 40% of the state's prison population is infected with Hepatitis C, according to a lawsuit filed in 2008. d) 90% of all prisoners are ultimately released from state prison. e) The majority of inmates have sex within the first 24 hours of their release from state prison. f) The average duration of incarceration in California prison is just over two years. g) Transmission of HIV and Hepatitis C in prison quickly affects the general population. h) It is in the interests of protecting the public health to acknowledge that tattooing occurs in prison and to take steps to make prison tattoos safer and less prone to transmission of blood-borne pathogens. i) Acknowledging the behavior that tattooing occurs in prison, combined with appropriate supervision, will ultimately help to mitigate dangerous conditions for SB 542 Page 5 correctional officers and public health crises for the communities into which inmates are released. 4)AIDS and HIV in State Prison : According to CDCR data as of 2007, there is an average of 1,240 inmates infected with HIV/AIDS in California's prisons. CDCR estimates the cost of care for these inmates at over $18 million. Because CDCR does not require HIV testing, the true number of infected inmates is unknown. According to the University of California, San Francisco, the rate of HIV infection among inmates is eight to ten times higher than among the general population. Various studies provided by the author attribute this high rate to intravenous drug use prior to incarceration. Due to the difficultly in conducting studies and limited availability of information, the rate causes of infection for inmates after incarceration are unknown. However, these studies estimate that sexuality activity is the leading cause for HIV infection in prison. 5)Prior Legislation : AB 1334 (Swanson), of the 2007-08 Legislative Session, enacted the "Inmate and Community Public Health and Safety Act", which requires the Secretary of CDCR to allow any non-profit or health care agency to distribute sexual barrier protection devices. AB 1334 was vetoed. REGISTERED SUPPORT / OPPOSITION : Support None Opposition None Analysis Prepared by : Gabriel Caswell / PUB. S. / (916) 319-3744